Mary techniques such as, using “I” statements,

Mary should
respond to the physician by mentioning as a nurse it is under her scope of
practice to know about the therapeutic action, side effects, and nursing
interventions for the medications she gives. Mary is held to the standards of
the Nurse Practice Act of the state of Georgia and one of the competencies is
to provide safe nursing care (The State of Georgia, 2017). Knowing the medications
adverse reactions and nursing interventions is part of providing safe and effective
care that the state law mandates.

Some positive
communication techniques Mary could use that would facilitate communication
with the physician could include techniques such as, using “I” statements,
establishing eye contact, using open communication, clarifying information, and
being aware of body language (Cherry & Jacobs, 2017). An example of how
these could be tied together would be saying, “I felt it was my responsibility
to educate myself about the medication to effectively care for the patient and
ensure patient safety, and I am very sorry if I offended you in anyway, that
was never my intentions.” Then, Mary should go on to ask the physician to
clarify what his expectations are from her and how they can work together to
both adhere to their scope of practices. While verbalizing these thoughts she
needs to use eye contact as a sign of being attentive, respectful and a way of
letting the physician know that what he says is being valued. Furthermore, Mary
could enhance non-verbal communication by having an open stance and leaning in
toward the physician (Cherry & Jacobs, 2017).

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Mary needs to avoid
blocking statements that might make the physician think she is not being
considerate of what he is trying to tell her (Cherry & Jacobs, 2017). She
needs to validate the physician’s feelings while still standing up for herself.

I wonder if others think it is more important for Mary to appease the physician
or to stand up for herself? Would a combination of both be the best way to
facilitate effective communication? Mary needs to be sure that both her verbal
and non-verbal communication does not contraindicate, so the physician knows
she is being genuine. Another barrier to communication could be the use of “Ad
Hominem Abusive”, which would be a statement such as, “The physician thinks he
is the only smart one that knows or needs to know about medications.” This
statement would not accomplish anything and would make the situation worse (Cherry
& Jacobs, 2017).

Some positive
communication techniques Mary could use with her patient could include, using
open communication and giving the patient a time when she is going to be back
and following through with those actions to help establish trust (Cherry &
Jacobs, 2017). An example could be, “Mr. Smith, I am going to clarify some
information on your medication with the physician and I will be back in 30
minutes to administer the medication to help with your pain.”